Ricky Lawton Phillips, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

00009483 Issued in AL

Practice address

1703 Vestwood Hills Dr
Vestavia, AL 35216-1367

Phone

(205) 979-0051

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• Lakeland Physicians LLC

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1851780951

  Emergency Medicine

  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• Lakeland Physician Practices LLC

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1679913784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1942262522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 VESTWOOD HILLS DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161367",
            "telephone_number": "205-979-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 VESTWOOD HILLS DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161367",
            "telephone_number": "205-979-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "RICKY",
        "middle_name": "LAWTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00009483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "051039541",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000039541",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Tatum Peppers
• Perron L Tucker DMD PC
• Melanie Petro, M.D.
• Heather Phelps
• Emma Catherine Phillips, OTR/L
• Susan J Phillips, M. D.
• Te'Shawnia Phillips
• Wendy H Phillips
• Zachary Keith Phillips, MD
• Physiotherapy Associates

• Emergency Medicine Physician in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.